11307 SW IRONWOOD LOOP L4
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/� CITY O F T I G A R D MECHANICAL
DEVELOPMENT SERVICESPERM I T
13125 SW Hall Blvd., Tigard,OR 97223 (54 -)6!9-4171 ly 1 #. . . . . . . . MEC97--&Zt'.-J'-L
n�TE� iSSIUED: 0'-.11/041197
PARCEL: I.S:134',W-02900
11307 SW TPON"rIOT) LP
3TTF: f-MIDREST. . . !.
')U1ADIVTSTON. - - ENGI-EWOOD ZONING. R-4. 3
LCT. . . . . . . . . . . . FIC
FLOOR FURN. 0
—Ar�!:7 01- WOR;'. . :AI-T r-jnr ('001.EPS.: 0
TYPE' OF USE. . . F7 UNIT HEATERS. . ; 0 VENT FANS. . . : 0
OCCUP(INf:Y GPP. R--3, WNTS W/O APPL- 0 VEI'..'T cS'Y[-3TElvlr-, z 0
STORIES. . . . . . . . 0 BnIL-ERS/COMI-IRESSORS HOODS. . . . . . . : LA
1-11-1171- TYPES— - Hp. . . . : 0 DOMES. 11,,ICIN: 0
: /Gn,o,/ 3- 15 HP. . . . : 0 COMML. INCIN: 0
'1AX INPUT: 0 B T IJ 1 " 30 HP. . . . - 0 13FPn- 1R I.JNTTI.',-. 0
rIRE DAMPE19% . : 30- IJ0 HP. . . . 0 WM')STOVES. . : 0
930S PRE'S"'KIRE-7,; . . : 50-1 HP. . 0 CLO ZMERS. . : 0
'NO. OF UNITS----------- AIR HANDLING UNITS OTH7N UNITS. : 0
JPN ( 1.001! BTU: 1 10000 r f m : 0 GA r DUTI-ETS. z I
'BURN ) =tOOV STU: 0 10000 cfm: 0
P P m�q i,I?t-, . T n s I-�i 1. 1, !Ja!5 f tend piping
Owner: FEES
DOUG I MrF-MAN f;ypq a m o t�n f; t-)y (1,4 t e 1,ept;
11307 OW IRONWOOD 1.J71 PRMT $ 25. 00 ISD 03/04/97 97-29117
75PCT $ 1. 2 T9D 031/04/97 ')7 J'.9- 11.71.
TIOAPI) OR
Phone #:
1317,17F'Inl-TY i,iEnTTNf-'/ F-PIIRT170TTON
9528 SW TIGARD
TTIGPRV OR
Fh(mv it ., F,; t7.� 5C,43 $ ;''F_,. TnTA1.
'gym g it. 6 G5 7 8
RE(,',UTRED i.NGPECTICIN'73
Th;a pervit is issued subject to the regulations contained in the Mpc.-hiinical T n s p
_—
Tigard Municipal Code, State of Ore. Specialty Codes ane, all other Fina 1. Tn-,pection
ipplicablp laws. All work will be dome ir accordance with
approved plans. This perait will expire if work is not started
within 180 days of issuance, or if work is suspended for sere
`han IN days,
F, .......
C,-01 for inspect ion 639-4175
City of Tigard MECHANICAL PERMIT Pianck/Rec. #
13125 sw Hall Bird. APPLICATION Permit # *(Ce-
Tigard, JR 97223
(503) 639-4171
Nor..1 -- Description -- —
Table 3A Mechanical Code OTY PRICE AMT
Job //� ��Z�,�v t ti+l1 LG, 1) Permit Fee •0- •0- 10.00
Address — — --
ti%� � L L y 2) Supplemental Permit 3.00
urnace BTS--�
�/I/%�✓✓ `l /ls 1) incl. ducts a vents 6.00
-v2 Furnace +
CWI16f > n/ tN'�% �f a-; " 2) incl,ducts&vents 7.50
Floor Furnanco
/ /��•.r -7` �'✓ �1 . L`z 7 3) incl. vent 6.00
rrr arrrw •u udo—d heater, wall heater
L_)t,,J.;v �Z- 4) or floor mounted heater 6.00
v9.-V-&n"A - '-Venfno[Incfin
Occupant 5) appliance permit 3.00
--mvE,bl. - Repair of seating,reTng.
6) cooling,absorption unit 6.00
-
--NEW- i or or comp, pump,air cond.
It, G(�
/e?/4 ��� -/4�,� 6�`� S4/y t 7) to 3 HP absorp unit to 100K BTU 6.00
( �L.�-� Boiler or comp, hoat pump,air cond.
Contractor 1 -S`'2'.jl `� "� 7" 8) 3-15 HP absorp unit to 500K BTU 1100
i er or comT pump,p,air cone
i I Z S 9) 15-30 HP absorp unit.5 1 mil BTU 15.00
•• ou to^ Boiler or comp,heat pump,air con
<-f 10) 30-50 HP absorp unit 1-1.75 mil BTU 2 2.501
TTiere y ac how rrj is ave rea us -PPT,C-al-UrI,I,-T, ie i er or comp, heat pump, air con . -
information given is correct, that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 37.50
of the owner, that plans submitted are in compliance with State it handling unit to
laws, that I:im registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given Is correct. (If exempt from State ragistradon, ---WiFFan ing u-n --
plaasr giva reason below) 13) 10,000 CTM+ 7.50
--TTon poortabT— -
14) evaporate cooler 4.50
Vent fan cannot
15) to a single duct 3.00
-------- -- VqnUlauon sysiemnot---
(�,h•�, ii `�'`� ��� 16) included in appliance permit 4.50
o�• °'^«^ - —Aocnservoany —
17) menhanical exhaust 4.50
oscrn wore now U a nion77a-Tteranon� repairDomRio rciaor Fnstnal-
to be done residentla non-residential O 18) type Incinerator 30.00
_xTog us"e'oT-- - -- or La.,wo-3o s onwater
building or property—_ _ 19) heater,solar,clothes dryers,etc 4,50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21) More than 4-per outlet
Typo of fuel -oil O natural goo O LPG Q electric U
NOTIG
Minimum Foe$25.00 SUBTOTAL. I -
PERMITS BECOME VOID IF WORK OR CONSTRUCTION -�-'TA -`
AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS, OR 5%SURCHARGE r C
IF CONSTRUCTION OR WORK IS SUSPENDED OR -
ABANDOI'-7 FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBIT TAIL
AFTER WORK IS COMMENCED. -- -
TOTAL r S
Special Conditions
-�._- ----- - U.�ta icsura<1-- w -by --
A.MEdIPMT
•atf`ca.Mr
Cri Y OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 PER11 T T #. . . . . . . : Pl-'1I97--0071
DATE TSSUE:D: 03/O4/97
PARCEL: r?' -4A13- OcC3b:'0
ITE f?DDRF' ,.�3. . . : 11307 S4J I?OPdWGLiu LI.,
"JBD I V I S I ON. . . . . ENGLEWOOD ZONING: R -G. ,
_OCK. . . . . . , . . . . LOT. . . . . . . . . . . . . :8F.
-ASCD OF WORK, . :ALT f;APIIAGC D T.SPOSAI S. : 0 Mae.I L.E !-IOML rPAr~EL,. : 0
VPE OF USE. . . . ..St WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
'r:CLJPnNCY GRP. . F! OOP DRnTNG. . . . . . . TRAr='f,. . . . . , 0
TORIES. . . . . . . . : 0 WP'TER HE::ATERS. . . . . : . . . . . . . .
1 CATCH BASIN. . . . . . . ; 0
TX1TUREr..._.....,.__..,_ .._._..._.- I 1-"JNDRY 7'Ril'�"� . . . . . . k7 SF" RnTN DRAINS. . . . . .
INKS. . . . . . . . . . : 0 URINALS. . . . . . . . . . . : v1 GREPOSE TRAPS. . . . . . . : Q
1._Ar1ATORIES. . . . . . 0 OTI.1En F T XTUPE, , , . . : 0
TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0
�()TER (�!..O^aETS. . : 0 WnTE'R LINE (ft ) . . . . 0
'SHWASHER7. . . . : 0 RATN DRAIN (ft ) . . . : 0
rmarks : Install water- heater,
finer,: _._.___.__._..._____.__.____----_____._.__.
FEES —
IUG, HnrrMAN t Vr_re amoltrrt. h
307 SW IRONWOOD LP � 5 date r•r.r pt
PRMT ,�,,, a0 Jr,D 03/04/97C3?—C., 171
rA1ZD orr
PCT $ 1. 25 ,TSD 03/O4/r:-77 97-0779.1171
...•,e #R:
F"C I AL TY HFAT T NC; & FATM T rAT i'I
a'S SW T I GARD ST
SPRI 01? 97223
one #: 5f",G:3 26. 0!5 TClTt1L____.___ _.__..._..__.._._...--
y O66570
_.-... _._._ REQUIRED I NSPECT T ONrl
s permit is issued subject to the regulations conia,ned in the Misc. Inspection
,ard knicipal rode, State or Ore. Specially Codes and all other, F'i.n.71 Ins;r�ect i nn
applicable laws, All work wil' be done is accordance with
approv,se plans This permit w;•',l expire if work is not started
within 1@0 days of issuance, r• if worti is suspended for more
t.r.lr IV days.
"v r•m.i t t r F
_.
r
_ r' +.l. l. for^ :inspection - 639-4175 _� `
City of Tigard PLUMBING PERMIT APPLICATION Pl:tick/Rec. #
13125 .9W Hall Blvd. _
Tigard, OR 97223 Permit # t_n,1"1
(503) 639-4171
r —
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
—
New Singie Famihr Realdences Ont,
7
Ad*— � ❑ 1 13ATH HOUSE$100 40
JOb 11 .BATH HOUSE$195.00
Address 133 9A'1 , HOUSE$225.On
" �� a Fee includes all plumbing ft-tures in the dwelling and the first 100 feet
of water service, sanitary sewer and storm sewer. See fees below.
tww Iti wiw a s��l —
FIXTURE3 QTY PRICE AMT
5 f�J 1��%A Sink
M-4,mw Ph— _ 9.00
Lavator,
Owner J��� /'vrv�✓�✓!� 6-of-� - 9.00
Tub .r Tub/Shower Comb. 900
Shower Only
Water Closet 9.00
9.r0
Dishwasher
yt/elle 9.00
Occupart Garbage Disposal 900
Washing Machine
9.00
CRWShft Floor Drain 9.00 --
a" Water Heater _
Laundry Room Tray 9.00
r--
,-, Urinal
9.00
Other
Other Fixtures (Specify) 9.00
neer f Ph
Z(�.)L✓ �ay� S _ 9.00 �—
C*Pv., 9.00
7 Q 1 900
Sewer list 100' I 30.t:,
'3M�IgPf�rp„NL CJy&A,iL'b.
Sewer-ea. Addit. 100' 25.00
Water Service 1st 100' 30.00
1 hereby acknowledge that I have read this app__lication, that the —
infotmation given s correct, that I am the owner or authorized agent of Water Service ea. Addit 200' 25.00
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 10o' 30.00
I am registered with the Construction Contractor's Board, that the —
number given is corec-,. (If exempt from State registration, please Storm & Rain Drain Addit. 100' 25._J
give reason below.) Mobile Home Space 25.00
7T I
Back Flow Prevenh.n
Device or Anti-Pollution Device o-On
Any Trap or Waste Noi
Connected to a Picture 0.00
Describe work new U addition Q alteration repair Q Catch Basin `
to be done residential sp. o
non-residential Q 9.00
Insp. Exist. Plumbing 40.00/hr
Existing use of
Specialty Requested Inspections 40.00/hr building or property Rain Drain, single fa_mily dwelling 30.00
Residential backflow prevention
Proposed use of devices 15 00
building or pr- erty _ _
'(Except residential backflow
—_ prevention devices)
NOTICE *Minimum Fee $25.00 SUBTOTAL
PERMI rS BECOME VOID IF WORK OR CONSTRUCTION -- C
AUTHORIZED IS NOT COMMENCED iAITIiIN 180 DAYS, OR IF 5416 SURCHARGE j �7
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED _ I
FOR A PERIOD OF 180 LAYS AT ANY TIME AFTER WORK IS
COMMENCED, PLAN REVIEW 25% OF SUBTOTAL /
TOTAL
Special Conditions —
--- �_ Date issued by
CITY OF TICARD
DEVELOPMENT SERVICES E.LEC"I"RICAL PERMIT
,3
13125 SW Hall Blvd.,Tigard,OPERMIT #: ELC97-012
R 97223 (503)639-4171 DATE TSSUFD: 03/04/97
FIARCEL: 161.34(',B-02900
'3 TTE ADDRESS. . 1. 1307 9W T RONWOOD LP
-,1JPDIVTc3TnN. ., . ENGLEWOOD 7C)NING:R--4. 5
BLOCK.. . . . . . . . . . . LOT. . . .. . . . . . . . . . :RG
r1r,oject Description -
--REFjT0FNTTA1_. UNIT- SR V C/FEEDERS----
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . .
!7r)CH ADD' L. 5009F. . . : 0 201. 1+00 amp. . . . . . . : 'A STGN/OUT t I NE I T C.2',. . -
MITER ENERGY. . . . . : 0 401 600 amp- . . . . . : 0 STGNAL/PANEL. . . . . . . 0
NF, wl svur."DR. . - o 60 1..+,,in p s 1 000 volts. -, 0 MTHOR I-ABF-J- ( 10) . - - 0
--SERVICE/FEEDER--- ----BRANCH CIRCUITS------ ---ADD' L INSPECTIONS—
th 200 'AMP. . - .. . . - it W/SERVTCE OR FEEDER: 01 Pf.'R INSPECTION. . . . . .. 0
11 400 amp. . . . . . : 0 Ist W10 SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0
1. :'10"h :amp. . . . . . 0 F0 ADL.?' I. RRNCH CTPf7- 'A TN PI-ANT. . . 0
1000 amp. . . . . t 0 ---___.-------.__.__--PLAN REVIEW SECT I
!100-1- amp/Volt. . . . . (A ) =4 RES UNT.TS. . . . . . . . . ) rmo vni.-T NIOMTNAL. .
' Connect only. . . . . » 0 SVC/FDR > = 225 AMPS. . : CLASS AREP/SPEC OCC. :
. I- .-1 -1.... __ __- . I .I ... I—- --I. .1- - -.... ... F IF F."S
"];=FMAN type amount: by date (-F!Cpt
307 914 TPONWOOD LP PRMT $ 00 T9D 1.713/'014/97 97 -2311y8
7jPCT $ 1. 75 JSD 03/04/97 97--291143
' GAPD OP
,n r)p #;
'ARPE ELECTRIC TNC 9 16, 79 TOTAL_
P,05 SW RIGGS
REQUIRED INSPECTIONS
i-ik)FRTON OP 97007 Cei I ing rnvPv 1"Ind pv.g'.-(I I(fill Cove
.one #: 503-642-7937 Wall Cover- Elect' l Final
815
S permit is issued vibject to t5p regulations contained in the
W
Aard Municipal Code, State of Ore. Specialty Codes and all other rmittee EiLln'ati. e
applicable laws. Pll work will bF done in accordance with
approved plans. This permit will expire if work is not started
within IN days of issuance, or J work is suspended fer sure
than IN dd)s. I S S 1APd
OWNER TN9TA1__LnTION ONL.Y-----
1he installation is being made on pt-ar)et-tY I own which is not intended for
4NERIS SIGNATI, RE., DATE:
TNSTALLOTION
T3NATURF OF SUPR. F.L..Er' N: DATF:
CENSE NO: —------
C,ill foo- inspection - 639-4175
CITY OFTIGARD Electrical Permit Application Plan Check#
13125 SW HALL BLVD. Rec'd B
TIGARD OR 97223 Date Rec'd
Date to P.E.
Phone (503)639-417 1, x304 Print or Type Date to DST
Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit# LC 7-0)c
Fax (503) 684-7297 Called`
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development ! / Number of Inspections per permit allowed
Name(or name of business) /'7 J Fj:P4t 2 Service included: Items Cost Sum
Address 3 7 5✓J //2`)a0L7aL:� l-D.C.) - 4a. Residential-per unit
City/Stste/Zip 71�+�6- ) (�(L W_ E1000 sq.it.or less 8h additional 500 sq.it,or $11x.00 _-___ 4
Commercial ❑ Residential portion thereof $25.00 1
Limited Energy � $25.00
Each Manuf'd Home or Modular
Dwelling Service or Foeder __ $68.00 _ 2
2a. Contractor installation o►�!y:
(Attach copy of of curve licenses 4b.Services or Feeders
Electrical Contractor Zj C j c, installation,alteration,or relocation
Add Low !j / '--�- 200 amps�-'ess $60.00 2
201 amps to 400 amps $E0.00 2
City �D State �. Zip JJ 401 amps to 600 amps $120.00 2
Phot,d NO. 72 601 amps to 1000 amps $180.00 ___ 2
Job NO. Over 1000 amps or volts __ $340.00 2
Elec.Cont. Lice. No. Exp.Date 7d -" I Reconnect only $50.00 - _- 2
OR State CCB Reg. No. 8151 e, Exp.Date '04, t 4c.Temporary Services or Feeders
COT Business Tax or Metro No - / Exp.Date �' `L Installation,alteration,or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n 201 amps to 400 amps i $75.00 2
401 amps to 600 amps $100.00 _ 2
Over 600 amps to 1000 volts,
License No. 3,3 S Exp.Date /0 ' a�"` see"b"above.
Phone No. -� S`� - 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's(Jame--_ feeder fee.
Address Each branch circuit $5.00
b)The fee for branch circuits
City State Zip_ without purchase of
Phone No._ e service or feeder fes. r
First branch circuit $35.00
The installation Is being made on property I own which is not Each additional branch oircuit $5.00 _
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not included)
Owner's Signature__ Each pump or Irrigation circle $40,00 _ 1
Each sign or outline lighting $4000 2
3. Plan Review section (if required):' Signal circult(s)or a limited energy
panel,alteration or extension $40.00 _
Please check appropriate item and enter fee In section 5B. Minor Labels(10) 5100.00
4 or more residential units in one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per inspection i $35.00
Classified area or structure containing special occupancy Per hour 455.00
as described In N.E.C.Chapter 5 In Plant $55.00
Submit 2 sets of plans with application where any of the above apply. 5. Fees: A
Not requ'red for temporary construction services. 5o.Enter total of above fees $ -
50%Surcharge(,05 X to,al foes) $
NO-I ICE Subtotal $
5b.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION A .. 41ZED IS Plan Review If required(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ ---
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Accuuni n_
Total Due $
I:DSTSTLCN APP ner P96